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Individual
MS. MARILYNN MAGALY MASSA
Active
Individual
MS. MARILYNN MAGALY MASSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R058394-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R058394-1
SOCIAL WORKER LICENSE NUM
NY
Enumeration date
10/23/2006
Last updated
05/08/2012
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